Measuring Outcomes in Orthopedic Care J.C. Clark, M.D. ORA Orthopedics
|
|
- Marilyn Black
- 6 years ago
- Views:
Transcription
1
2 Measuring Outcomes in Orthopedic Care J.C. Clark, M.D. ORA Orthopedics
3 Father of Shoulder Surgery End Result Idea The common sense idea that every hospital should follow every patient it treats, long enough to determine whether or not the treatment has been successful, and then to inquire, If not, why not? with a view to prevent similar failures in the future. - E. Amory Codman circa 1905
4 What does it mean to be the best?
5 It s Easy in Sports Jordan Spieth: stroke average Bryce Harper:.338 batting average
6 What about medicine?
7 How do we determine it? Nicest, most friendly Quickest, fastest Sees the most/least clinic patients Performs the most/least surgeries Has the greatest patient satisfaction Holds the most noble hospital positions Word of mouth/reputation...
8 Good Bedside Manner Good Surgeon Good Bedside Manner Bad Surgeon Bad Bedside Manner Good Surgeon Bad Bedside Manner Bad Surgeon
9 Good Bedside Manner Good Surgeon Good Bedside Manner Bad Surgeon Bad Bedside Manner Good Surgeon Bad Bedside Manner Bad Surgeon
10 Good Bedside Manner Good Surgeon Good Bedside Manner Bad Surgeon Bad Bedside Manner Good Surgeon Bad Bedside Manner Bad Surgeon
11 Good Bedside Manner Good Surgeon Good Bedside Manner Bad Surgeon Bad Bedside Manner Good Surgeon Bad Bedside Manner Bad Surgeon
12
13
14
15 This is How We Determine Patient-Reported Outcome Measures (PROMs): Method or questionnaire used in a clinical setting, where the responses are collected directly from the patient Patient Reported Experience Measures (PREMs): Focuses more on a patient's experience versus outcomes Shows how satisfied they are
16 What are these PROMs/PREMs? Questionnaires aka: instruments, measures, scales, tools Psychometric properties: valid, reliable, responsive Characteristic being measured aka: constructs i.e. shoulder, knee, hip function Examples Western Ontario WOSI WORC WOMAC Constant Score ASES scores SF-12 DASH HOOS/KOOS IKDC
17 Currently at ORA Patient Related Outcome Measure (PROMs) Hip replacement: HOOS Knee replacement: KOOS outcomes based electronic research database Central Region Missouri Orthopaedic Institute Hinsdale Orthopaedics The Orthopaedic Center of St. Louis Midwest Orthopaedics at Rush Michigan Orthopaedic Institute Union Memorial Hospital Tennesse Orthopaedic Clinics Rockford Orthopaedic A.T. Still University
18 American Shoulder & Elbow Surgeons Shoulder Score Introduced in 1994 by ASES 2 major sections Patient reported section Physician reported section Has been modified over the years Patient reported section most commonly used (pases) 0 (worst) 100 (best)
19
20 What s Normal?
21
22 185 male and 158 female subjects mean ASES score was 92.2
23 Arthroscopic Repair of Small- Medium (<3cm) Cuff Tear Mean Pre-op ASES Duration of Follow-up Mean Post-op ASES >1 year Averages taken from meta-analyses and systematic reviews
24 Steve Snyder, M.D. Van Nuys, CA ASES: 92.9
25 Bob Burks, M.D. Salt Lake City, UT ASES: 85.9
26 Peter Millet, M.D. Vail, CO ASES: 90.3
27 Tony Romeo, M.D. Chicago, IL ASES: 91.5
28 Richard Hawkins, M.D. Greenville, SC ASES: 88.0
29 Evan Flatow, M.D. New York ASES: 81
30 Hiroyuki Sagaya, M.D. Japan ASES: 92.9
31 Gilles Walch, M.D. France Constant: 67.6 Hiroyuki Sagaya, M.D. Japan ASES: 92.9
32 Currently at ORA Patient Related Experience Measures (PREMs) Patients fill out satisfaction form Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CGCAHPS) Standardized tool to measure patient perceptions of care delivered by a provider in an office setting Part of the requirements for Physician Quality Reporting System (PQRS) participants
33 PREM Questions What was your wait time in the clinic after your scheduled appointment time to see the provider? Was the person who scheduled your appointment as helpful as you thought that they should be? Did the person who scheduled your appointment treat you with courtesy and respect? How would you rate your ability to get an appointment within the timeframe you needed to be seen? Were front desk receptionists as helpful as you thought they should be? Did the front desk receptionists treat you with courtesy and respect? Were the clinical staff as helpful as you thought they should be? Did the clinical staff treat you with courtesy and respect? Did the provider explain things in a way that was easy to understand? Did the provider listen carefully to you? Did the provider give you easy to understand information about your health questions and concerns? Did the provider seem to know the important information about your medical history? Did the provider show respect for what you had to say? Did the provider spend enough time with you? Using any number from 0 to 10, where 0 is the worst provider possible and 10 is the best provider possible, what number would you use to rate your provider? 0 Worst provider possible 10 Best provider possible
34
35 NPS Score Does Patient Volume Match PREM? 100 We have satisfaction scores.and. We know patient volume Series Yearly Volume (Arrived Patients)
36 Axis Title Draw a Best Fit Line Series1 Linear (Series1) Axis Title y = x
37 NPS score y = x Series1 Linear (Series1) Yearly Patient Volume
38 NPS Score y = x Series1 Linear (Series1) Yearly Patient Volume
39 NPS Score y = x Series1 Linear (Series1) Yearly Patient Volume
40 Equations for Each Line 2013 y = x y = x y = x + 93 Slope = Negative correlation between patient satisfaction and number of patients seen For every 1000 patients you see, a provider will drop 1.8 points on NPS scale
41 What does that tell us? Clinics run 8am-12pm and 1-5pm
42 Cost to medical practice Drawbacks/Cons to Measuring Outcomes Direct cost of outcome measures/it Indirect cost of time to collect & synthesize data Time for patients to fill out forms Response rates Rationing of healthcare Obese Diabetic Worker s comp Smoking Greater physician risk
43 So What, Clark, Who Cares? PROMs PREMs
44 Pay for Volume vs. Pay for Value
45
46 Ideally Rapid Access High Quality Low Cost
47
48
49 thank you! J.C. Clark, M.D. ORA Orthopedics
50 I prefer to win titles with the team ahead of individual awards or scoring more goals than anyone else. I m more worried about being a good person than being the best football player in the world. When all this is over, what are you left with? When I retire, I hope I am remembered for being a decent guy. -Lionel Messi
Introduction 2/8/2016. Selection of Shoulder Outcomes Scores and Where From Here to the Future Richard J. Hawkins, M.D.
Current Solutions in Shoulder Elbow Surgery Tampa, Florida February 4-7, 2016 Selection of Shoulder Outcomes Scores and Where From Here to the Future Richard J. Hawkins, M.D. Steadman Hawkins Clinic of
More informationAJRR Registry Platform. System Workflow Training January 2017
AJRR Registry Platform System Workflow Training January 2017 Discussion Topics OVERVIEW: STARTING A PRO PROGRAM AT YOUR INSTITUTION Defining Your Program PROM Collection Workflow Options PART 1: REGISTRY
More informationto Orthopedic Patient-Reported Outcome Collection Tools
to Orthopedic Patient-Reported Outcome Collection Tools A BUYER S GUIDE TO PATIENT-REPORTED Part of the OUTCOME Value-Driven COLLECTION Service TOOLS Line Series of E-Books 1 Introduction 2 The importance
More informationPG snapshot PRESS GANEY IDENTIFIES KEY DRIVERS OF PATIENT LOYALTY IN MEDICAL PRACTICES. January 2014 Volume 13 Issue 1
PG snapshot news, views & ideas from the leader in healthcare experience & satisfaction measurement The Press Ganey snapshot is a monthly electronic bulletin freely available to all those involved or interested
More informationPatient-reported outcomes in the Netherlands
Patient-reported outcomes in the Netherlands Routine use in clinical practice and performance measurement Philip van der Wees The King s Fund, London December 3, 2013 From global perspective to local application
More informationSummary Report of Findings and Recommendations
Patient Experience Survey Study of Equivalency: Comparison of CG- CAHPS Visit Questions Added to the CG-CAHPS PCMH Survey Summary Report of Findings and Recommendations Submitted to: Minnesota Department
More informationNOT INTENDED FOR DISTRIBUTION TO PATIENTS
NOT INTENDED FOR DISTRIBUTION TO PATIENTS Thank you for completing this important questionnaire regarding your surgical visit. Your feedback is very important in helping us continue to provide the highest
More informationEXECUTIVE SUMMARY: PUBLIC AND PATIENT GUIDE TO THE NJR S 10TH ANNUAL REPORT 2013
EXECUTIVE SUMMARY: PUBLIC AND PATIENT GUIDE TO THE NJR S 10TH ANNUAL REPORT 2013 The National Joint Registry for England, Wales and Northern Ireland is working to improve your experience of joint Text
More informationQuestionnaire on family experiences of ICU quality of care
Questionnaire on family experiences of ICU quality of care (name of actual ICU) 1 This questionnaire is about experiences that you and your family member (the patient) had during his or her stay in the
More informationSouth East London NHS Orthopaedic Services. Ideas for making orthopaedic services better
South East London NHS Orthopaedic Services Ideas for making orthopaedic services better Orthopaedic Orthopaedic means parts of your body like your Bones Joints Ligaments Tendons Muscles Nerves. It is about
More informationDUTCH ORTHOPAEDIC SURGERY INTRODUCTION OF THE COUNTRY AND THE SPECIALTY
DUTCH ORTHOPAEDIC SURGERY INTRODUCTION OF THE COUNTRY AND THE SPECIALTY 2 THE NETHERLANDS On Sunday 23th of September: 16.743.640 inhabitants, 1 out of 8 non Dutch origin Expenditure on healthcare rose
More informationImprovement in HHCAHPS
Improvement in HHCAHPS Presented By: Melinda A. Gaboury, CEO Healthcare Provider Solutions, Inc. healthcareprovidersolutions.com Measures Affecting Star Ratings VBP - HHCAHPS Measures Source Home Health
More informationPUTTING PATIENTS AT THE CENTRE OF HEALTH CARE: THE USE OF PROMS IN PRIMARY CARE NETWORKS
PUTTING PATIENTS AT THE CENTRE OF HEALTH CARE: THE USE OF PROMS IN PRIMARY CARE NETWORKS Fatima Al Sayah, PhD, University of Alberta Rick Leischner, CPA, CA, Alberta Health Ann Makin, BPE, Bow Valley PCN
More informationDay Surgery Satisfaction Isn t Built in a Day
news, views & ideas from the leader in healthcare satisfaction measurement The Satisfaction Snapshot is a monthly electronic bulletin freely available to all those involved or interested in improving the
More informationIndiana Association For Home and Hospice Care, Inc.
Indiana Association For Home and Hospice Care, Inc. Using CAHPS to Improve Customer Service May 2012 Presented by: Eileen M. Freitag Director of Strategic & Organizational Consulting Fazzi Associates,
More informationParticipant Satisfaction Survey Summary Report Fiscal Year 2012
Participant Satisfaction Survey Summary Report Fiscal Year 2012 Prepared by: SPEC Associates Detroit, Michigan www.specassociates.org Introduction Since 2003, Area Agency on Aging 1-B (AAA 1-B) 1 has been
More informationDrivers of HCAHPS Performance from the Front Lines of Healthcare
Drivers of HCAHPS Performance from the Front Lines of Healthcare White Paper by Baptist Leadership Group 2011 Organizations that are successful with the HCAHPS survey are highly focused on engaging their
More informationAmerican Joint Replacement Registry 2015 Updates Webinar The Joint Commission July 8, 2015
American Joint Replacement Registry 2015 Updates Webinar The Joint Commission July 8, 2015 Connect and learn more at www.ajrr.net 2 Welcome Welcome AJRR 2015 Updates Webinar and Preview of the Demand Reporting
More informationGP Practice Survey. Survey results
GP Practice Survey Survey results Contents Contents Objectives and methodology Key findings Profile of patients who completed the survey Frequency of visiting the surgery Awareness and usage of core surgery
More informationOrthopedic Service Line Optimization. How to Use Big Data for Your Value-Based Purchasing Decisions
Orthopedic Service Line Optimization How to Use Big Data for Your Value-Based Purchasing Decisions July 31, 2014 Presenters Stephen Gold, vice president of marketing and sales operations for Watson Solutions
More informationRx for a Great Future *** Engagement, Alignment, & Leadership
Rx for a Great Future *** Engagement, Alignment, & Leadership Jay Kaplan, MD, FACEP Medical Director, Studer Group Practicing Clinician and Director, Service/Operational Excellence, CEP America The future
More information2. What is the main similarity between quality assurance and quality improvement?
Chapter 6 Review Questions 1. Quality improvement focuses on: a. Individual clinicians or system users b. Routine measurement of performance c. Information technology issues d. Constant training 2. What
More information2017 Local Outpatient Programs Guide. For Total Joint Reconstruction and Spine
2017 Local Outpatient Programs Guide For Total Joint Reconstruction and Spine Join us for one of our local outpatient programs Visitation programs at these Centers of Excellence Mount Carmel New Albany
More informationDeveloping a Fast Track
Developing a Fast Track for patients undergoing hip and knee arthroplasty Specialist Orthopaedic Surgeon, Head of the Clinic of Orthopaedics #Quality2016 @nusjukvarden www.nusjukvarden.se/quality2016 Introduction
More informationImproving Outcome and Efficiency with. Service Delivery
Transforming Public Behavioral Health Care: Improving Outcome and Efficiency with Consumer-Driven, Outcome-Informed (CDOI) Service Delivery Scott D. Miller, Ph.D. http://twitter.com/scott_dm http://www.linkedin.com/in/scottdmphd
More informationPatients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study.
d AUSTRALIAN CATHOLIC UNIVERSITY Patients satisfaction with mental health nursing interventions in the management of anxiety: Results of a questionnaire study. Sue Webster sue.webster@acu.edu.au 1 Background
More informationSuperior Labrum Biceps Complex in Overhead Athletes
How I talk to Patients about Poor Outcomes Professor, Department of Orthopedics Head, Section of Shoulder and Elbow Surgery Team Physician, Chicago White Sox and Bulls Chief Medical Editor, Orthopaedics
More informationA comparison of two measures of hospital foodservice satisfaction
Australian Health Review [Vol 26 No 1] 2003 A comparison of two measures of hospital foodservice satisfaction OLIVIA WRIGHT, SANDRA CAPRA AND JUDITH ALIAKBARI Olivia Wright is a PhD Scholar in Nutrition
More informationPatient Satisfaction Survey Results
Patient Satisfaction Survey Results Aims The aim of this survey was to assess how the practice is meeting, or not meeting, the expectations of its patients. The data collected will be used to identify
More informationEnhancing the Patient Experience in an Ambulatory Setting
Enhancing the Patient Experience in an Ambulatory Setting Joshua Miller, DO, Regional Operation, Patient Experience Officer and Medical Director, Willoughby Hills Family Health Center, Cleveland Clinic
More informationSubject: DRAFT CMS Quality Measure Development Plan (MDP): Supporting the Transition to the Merit-based Incentive Payment System (MIPS) and
February 24, 2016 Attention: Eric Gilbertson Centers for Medicare & Medicaid Services MACRA Team Health Services Advisory Group, Inc. 3133 East Camelback Road Suite 240 Phoenix, AZ 85016-4545 Submitted
More informationNEW BRUNSWICK HOME CARE SURVEY
NEW BRUNSWICK HOME CARE SURVEY MARKING INSTRUCTIONS: Please fill in or place a check in the circle that best describes your experiences with home care services. If you wish, a caregiver, friend, or family
More informationSample Call Center Script: Customer Satisfaction Survey
Sample Call Center Script: Customer Satisfaction Survey Hello? Hi, may I please speak with Arnold? May I ask who s calling? This is from Einstein Hospital. I am calling to speak with him about his recent
More informationCalendar Year 2014 Medicare Physician Fee Schedule Final Rule
Calendar Year 2014 Medicare Physician Fee Schedule Final Rule Non-Facility Cap After receiving many negative comments on this issue from physician groups, along with the House GOP Doctors Caucus letter
More informationThe Patient Experience at Florida Hospital Learning Module for Students
The Patient Experience at Florida Hospital Learning Module for Students 1 Introduction Adventist Health System and its East Florida Region hospitals welcome the privilege to provide a wellrounded learning
More informationCMS Issues 2018 Proposed Physician Fee Schedule: What Spine Surgeons Should Know
CMS Issues 2018 Proposed Physician Fee Schedule: What Spine Surgeons Should Know Overview On July 13, 2017, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment
More informationAmany A. Abdrbo, RN, MSN, PhD C. Christine A. Hudak, RN, PhD Mary K. Anthony, RN, PhD
Information Systems Use Among Ohio Registered Nurses: Testing Validity and Reliability of Nursing Informatics Measurements Amany A. Abdrbo, RN, MSN, PhD C. Christine A. Hudak, RN, PhD Mary K. Anthony,
More informationMeasuring Patient Reported Outcomes
Putting the Patient First: Measuring Patient Reported Outcomes Matt Hutter, MD, MPH Director, The Codman Center for Clinical Effectiveness in Surgery Codman- Warshaw Endowed Chair in Surgery ASMBS Secretary/Treasurer
More informationPatient Reported Outcome Measures in Danish Health Care JAN MAINZ MD; PHD; PROFESSOR, DIRECTOR 1
Patient Reported Outcome Measures in Danish Health Care JAN MAINZ MD; PHD; PROFESSOR, DIRECTOR 1 THE DANISH HEALTHCARE SYSTEM Denmark has 5.5 mio. inhabitants The Danish Health Care System is mainly public
More informationInova Joint Replacement Center 2014 Annual Report
Inova Joint Replacement Center Annual Report At a Glance Inova Mount Vernon Hospital* Home to Inova Joint Replacement Center Licensed hospital beds 237 Emergency room visits 40,899 1,547 Outpatient surgeries
More informationEssential Skills for Evidence-based Practice: Appraising Evidence for Therapy Questions
Essential Skills for Evidence-based Practice: Appraising Evidence for Therapy Questions Jeanne Grace, RN, PhD 1 Abstract Evidence to support the effectiveness of therapies commonly compares the outcomes
More informationDeveloping Primary Care Measures that Matter: Creating a CHC Primary Care Dashboard. Clinical Team Advisory Group
Developing Primary Care Measures that Matter: Creating a CHC Primary Care Dashboard Clinical Team Advisory Group CHC and AHAC ED Network Committee Structure Board ED Network (CHC and AHAC) Association
More informationALL GP s, physios and nurse practitioners. Register today! The SWLEOC MSK network meeting: Radiology optimising use within primary care
Welcome to the South West London Elective Orthopaedic Centre (SWLEOC) Quarterly Newsletter Welcome to the eighth edition of SWLEOC's quarterly newsletter, designed to keep our primary care partners and
More informationJames B. Duke, MD PA Orthopedic Surgery 2300 SE 17 th Street, Suite 500 Ocala, FL
James B. Duke, MD PA Orthopedic Surgery 2300 SE 17 th Street, Suite 500 Ocala, FL 34471 352-867-0444 Dear Patients: Welcome to our orthopaedic office. We appreciate your confidence and will take great
More informationAVELEY MEDICAL CENTRE & THE BLUEBELL SURGERY
AVELEY MEDICAL CENTRE & THE BLUEBELL SURGERY Aveley Medical Centre, 22 High street, Aveley, Essex, RM15 4AD The Bluebell surgery, Darenth Lane, South Ockendon, Essex, RM15 5LP PATIENT PARTICIPATION DES
More informationThe Care Transitions Network
Making the move to Value Based Reimbursement/Payment/Purchasing (VBR/P 2 ): Using Data to Improve Care Delivery and Your Organizations Performance The Care Transitions Network Presented by: Scott C. Lloyd,
More informationAneurin Bevan University Health Board. Planning and Strategic Change Committee
Aneurin Bevan University Health Board Planning and Strategic Change Committee A Meeting of the Planning and Strategic Change Committee was held on Tuesday, 19 th December 2014 in Seminar Room 4, Conference
More informationMeasuring the Quality of Outcomes in Healthcare using HIPE data
Measuring the Quality of Outcomes in Healthcare using HIPE data Brendan Kennelly Health Economics and Policy Analysis Centre Cairnes School of Business and Economics NUI Galway Overview Why focus on quality?
More informationIntroduction to the Family Medicine-Emergency Medicine Rotation at the Hand & Upper Limb Centre. St Joseph s Health Centre London, Ontario
Introduction to the Family Medicine-Emergency Medicine Rotation at the Hand & Upper Limb Centre St Joseph s Health Centre London, Ontario 2 Background: Residents who are enrolled in the Family Medicine
More informationBasic Standards for Residency Training in Orthopedic Surgery
Basic Standards for Residency Training in Orthopedic Surgery American Osteopathic Association and American Osteopathic Academy of Orthopedics Approved/Effective July 1, 2012 TABLE OF CONTENTS Section I:
More informationINPATIENT SURVEY PSYCHOMETRICS
INPATIENT SURVEY PSYCHOMETRICS One of the hallmarks of Press Ganey s surveys is their scientific basis: our products incorporate the best characteristics of survey design. Our surveys are developed by
More informationFor 1 hour every week my colleagues and I sit down together over lunch to discuss
January/February 2000 Volume 3 Number 1 EFFECTIVE CLINICAL PRACTICE EDITOR H. GILBERT WELCH, MD, MPH ASSOCIATE EDITORS JOHN D. BIRKMEYER, MD WILLIAM C. BLACK, MD LISA M. SCHWARTZ, MD, MS STEVEN WOLOSHIN,
More informationHospital at home or acute hospital care: a cost minimisation analysis Coast J, Richards S H, Peters T J, Gunnell D J, Darlow M, Pounsford J
Hospital at home or acute hospital care: a cost minimisation analysis Coast J, Richards S H, Peters T J, Gunnell D J, Darlow M, Pounsford J Record Status This is a critical abstract of an economic evaluation
More informationMedicaid EHR Incentive Program Survey of Registrants 2015 Summary of Findings
Medicaid EHR Incentive Program Survey of Registrants 2015 Summary of Findings INTRODUCTION Beginning in April 2012, providers that registered for the Michigan Department of Health and Human Services (MDHHS)
More informationThe Changing Face of the Employer-Provider Relationship
The Changing Face of the Employer-Provider Relationship Cleveland Clinic Market & Network Services Shannon Schwartzenburg August 21, 2013 Cleveland Clinic Snapshot Group practice model - 120 specialties
More informationAt EmblemHealth, we believe in helping people stay healthy, get well and live better.
At EmblemHealth, we believe in helping people stay healthy, get well and live better. Welcome to the 2017 course on Special Needs Plan Model of Care. This year s course is focused on how we can successfully
More informationShoulder program of care. reference guide OCTOBER 2012
Shoulder program PROGRAM OF CARE of care reference guide OCTOBER 2012 Reference guide Acknowledgements The WSIB acknowledges the significant contributions of the following regulatory colleges, regulated
More informationHow do you strike the right balance between specialists and generalists on the
OR leadership Finding a balance for specialty teams How do you strike the right balance between specialists and generalists on the perioperative nursing staff? What is the extent of specialization your
More informationSupplemental materials for:
Supplemental materials for: Ricci-Cabello I, Avery AJ, Reeves D, Kadam UT, Valderas JM. Measuring Patient Safety in Primary Care: The Development and Validation of the "Patient Reported Experiences and
More informationLow Molecular Weight Heparins
ril 2014 Low Molecular Weight Heparins FINAL CONSOLIDATED COMPREHENSIVE RESEARCH PLAN September 2015 FINALCOMPREHENSIVE RESEARCH PLAN 2 A. Introduction The objective of the drug class review on LMWH is
More informationUtilizing Proctors for Competency Evaluations
Utilizing Proctors for Competency Evaluations WHITE PAPER Editor s note: In this white paper, Michael Callahan, Esq., partner at Katten Muchin Rosenman, LLP, in Chicago; and Christine Mobley, CPMSM, CPCS,
More informationThe History of the development of the Prometheus Payment model defined Potentially Avoidable Complications.
The History of the development of the Prometheus Payment model defined Potentially Avoidable Complications. In 2006 the Prometheus Payment Design Team convened a series of meetings with physicians that
More informationREPORT ON LOCAL PATIENTS PARTICIPATION FOR THE COURTLAND SURGERY ILFORD
REPORT ON LOCAL PATIENTS PARTICIPATION FOR THE COURTLAND SURGERY ILFORD February 2012 Local Participation Report 1 Background Patients Reference Group Following the guidance by Primary Medical Services
More informationBARIATRIC SURGERY SERVICES POLICY
BARIATRIC SURGERY SERVICES POLICY Please note that all Central Lancashire Clinical Commissioning Policies are currently under review and elements within the individual policies may have been replaced by
More informationPatient assessments in surgery: Variables which contribute most to increase satisfaction. Joachim Kugler, Tonio Schoenfelder, Tom Schaal, Joerg Klewer
Dresden Medical School, Department of Public Health Patient assessments in surgery: Variables which contribute most to increase satisfaction Joachim Kugler, Tonio Schoenfelder, Tom Schaal, Joerg Klewer
More informationPatient Selection, Optimization and Disposition: Tools for Success in Orthopedic Bundles
Patient Selection, Optimization and Disposition: Tools for Success in Orthopedic Bundles Luann Tammany Tribus, PT, MBA SVP, Clinical Strategy & Innovation Remedy Partners John Kilgore, MD Orthopedic Surgeon
More informationCOMPREHENSIVE CARE JOINT REPLACEMENT MODEL CONTRACTING TOOLKIT
COMPREHENSIVE CARE JOINT REPLACEMENT MODEL CONTRACTING TOOLKIT March 2016 INTRODUCTION Alternative, collaborative delivery systems are the wave of the future. CMS, as well as commercial payers, are committed
More informationPerformance Measures Methodology Document Performance Measures Committee March 2018
Performance Measures Methodology Document Performance Measures Committee March 2018 Orthopaedic Practice in the US 2014 1 Survey work is conducted for the benefit of and is owned by the AAOS. Not to be
More informationNHS Nottingham West CCG Latest survey results
NHS Nottingham West Latest survey results 2017 publication Version 1 Public 1 Contents This slide pack provides results for the following topic areas: Background, introduction and guidance.... Slide 3
More informationWhat is Mental Health Integration?
What is Mental Health Integration? Quality Experience Cost A standardized clinical and operational team process that incorporates mental health as a complementary component of wellness & healing * Mental
More informationALTERNATIVE PAYMENT MODEL CONTRACTING GUIDE
ALTERNATIVE PAYMENT MODEL CONTRACTING GUIDE June 2017 INTRODUCTION Alternative, collaborative health care delivery systems are the wave of the future. The Centers for Medicare and Medicaid Services (CMS),
More informationImproving Patient Reported Outcome (PRO) Collection Rate at Penn Orthopaedics. Joseph Pecha with Finnah Pio Mentor: Patricia Sullivan, Ph.
Improving Patient Reported Outcome (PRO) Collection Rate at Penn Orthopaedics Joseph Pecha with Finnah Pio Mentor: Patricia Sullivan, Ph.D What are Patient Reported Outcomes? Patient Reported Outcomes
More informationPatient Transport Service Patient Experience Report: Hinchingbrooke Health Care NHS Trust
Patient Transport Service Patient Experience Report: Hinchingbrooke Health Care NHS Trust Author: Tessa Medler, Patient Experience Facilitator Sophie Ogle-Rush, Patient Experience Facilitator Data Period:
More informationEmerging Trends in Outpatient Orthopedic Strategy
Service Line Strategy Advisor Emerging Trends in Outpatient Orthopedic Strategy April 2015 Cynthia Tassopoulos Analyst Service Line Strategy Advisor TassopoC@advisory.com Road Map 2 1 2 Impetus for Outpatient
More informationEvidence-Based Practice:
Dr Hazel Roddam Evidence-Based Practice: approaches to measuring the impact of therapy interventions. Dr Hazel Roddam, 2014 1 Workshop outline 1. Definitions of Evidence-Based Practice (EBP) 2. Inherent
More informationWriting a Successful PEP Grant
Writing a Successful PEP Grant One of the most popular sessions at the 2002 AAHPERD Convention was a presentation by last year s PEP grant recipients. A packed room of PEP hopefuls listened intently as
More informationRedesigning Health Care in an Accountable Care World
Redesigning Health Care in an Accountable Care World Jack Cox, MD: Chief Quality Officer Hoag Memorial Hospital Presbyterian, Newport Beach CA Diane Laird, MPH: Chief Executive Officer Greater Newport
More informationCollecting Patient Reported Outcomes: Lessons from the California Joint Replacement Registry
EDM Forum EDM Forum Community egems (Generating Evidence & Methods to improve patient outcomes) Publish 12-16-2015 Collecting Patient Reported Outcomes: Lessons from the California Joint Replacement Registry
More informationAligning Hospital and Physician P4P The Q-HIP SM /QP-3 SM Model. Rome H. Walker MD February 28, 2008
Aligning Hospital and Physician P4P The Q-HIP SM /QP-3 SM Model Rome H. Walker MD February 28, 2008 A Concerted Effort Because the rewards are based on shared performance, the program is intended to create
More informationConvening Difficult Conversations
Convening Difficult Conversations October 27, 2017 Presenter-Lores Vlaminck, MA, BSN, RN, CHPN Grandmother of 10 wonderful grandkids! Nurse Consultant for: Hospice Palliative Care Assisted Living Home
More informationACHIEVING PHYSICIAN INTEGRATION WITH THE CO-MANAGEMENT MODEL
ACHIEVING PHYSICIAN INTEGRATION WITH THE CO-MANAGEMENT MODEL Presented by: Joseph F. Corfits, Jr. FHFMA, Chief Financial Officer Unity Point Health Des Moines Stephen G. Taylor, MD Des Moines Orthopaedic
More informationRural Relevance in Oklahoma
Rural Relevance in Oklahoma OHA Annual Conference 2017 November 1, 2017 Agenda Introductions The Rural Relevance Study Impact of Current and Proposed Health Policies on Rural Providers Oklahoma Rural Hospitals:
More informationDeliver Value by Design with PFCC: Improve Experiences and Outcomes While Decreasing Costs Pamela K. Greenhouse Executive Director
Deliver Value by Design with PFCC: Improve Experiences and Outcomes While Decreasing Costs Pamela K. Greenhouse Executive Director www.pfcc.org Key #1 View All Care as an Experience And Through the Eyes
More informationA15/B15: Implementing and Collecting Patient Reported Measures
December 9, 2014 These presenters have nothing to disclose A15/B15: Implementing and Collecting Patient Reported Measures IHI National Forum on Quality Improvement in Health Care Welcome Session Objectives
More informationRossRichter.com, LLC
RossRichter.com, LLC 203-461-8043 Specialists in Orthopaedic Recruiting fredperlman@rossrichter.org PLEASE POST FOR PHYSICIAN ASSISTANT STUDENTS: RossRichter.com, LLC was started in 1989 by health care
More informationJuly to December 2013: Outcome Measurement System (OMS) Report
July to December 2013: Outcome Measurement System (OMS) Report Overview of Washington s Participation in OMS The purpose of the Outcome Measurement System (OMS) is to help Children s Advocacy Centers (CAC
More informationNHS Rushcliffe CCG Latest survey results
R/GB/17/195 NHS Rushcliffe Latest survey results 2017 publication Version 1 Public 1 Contents This slide pack provides results for the following topic areas: Background, introduction and guidance.... Slide
More informationComprehensive Care for Joint Replacement (CJR) Readiness Kit
Comprehensive Care for Joint Replacement (CJR) Readiness Kit Contents CMS Announces Shift From Volume To Value...2 Top Things To Know About CJR Final Rule...3 Proposed Timeline For CJR...4 Who Is Impacted?...5
More informationQualitative Evidence for Practice: Why Not! Barbara Patterson, PhD, RN, ANEF Lehigh Valley Health Network Research Day 2016 October 28, 2016
Qualitative Evidence for Practice: Why Not! Barbara Patterson, PhD, RN, ANEF Lehigh Valley Health Network Research Day 2016 October 28, 2016 OBJECTIVES At the completion of this presentation the learner
More informationTransforming Payment and Care Models for Total Joint Replacement. Stephen J. Zabinski, MD
Transforming Payment and Care Models for Total Joint Replacement Stephen J. Zabinski, MD Stephen John Zabinski, M.D. Director of the Division of Orthopaedic Surgery and Total Joint Replacement Services
More informationPCORI s Approach to Patient Centered Outcomes Research
PCORI s Approach to Patient Centered Outcomes Research David H. Hickam, MD, MPH Director, PCORI Clinical Effectiveness and Decision Science Program Charleston, SC July 18, 2017 Goals of this Presentation
More informationOBQI for Improvement in Pain Interfering with Activity
CASE SUMMARY OBQI for Improvement in Pain Interfering with Activity Following is the story of one home health agency that used the outcome-based quality improvement (OBQI) process to enhance outcomes for
More informationSUMMARY OF INDICATOR CHANGES FOR VERSION 3 INTELLIGENT MONITORING REPORTS Acute and Specialist NHS Trusts 23 June Final Draft, Subject to Change
Never Event incidence Yes: 01 May 2013-30 Apr 2014 Incidence of Clostridium difficile (C.difficile) Incidence of Meticillin-resistant Staphylococcus aureus (MRSA) Dr Foster Intelligence: Mortality rates
More informationCultivating Empathy. iround for Patient Experience. Why Empathy Is Important and How to Build an Empathetic Culture. 1 advisory.
iround for Patient Experience Cultivating Empathy Why Empathy Is Important and How to Build an Empathetic Culture 2016 The Advisory Board Company advisory.com 1 advisory.com Cultivating Empathy Executive
More informationMIPS, MACRA, & CJR: Medicare Payment Transformation. Presenter: Thomas Barber, M.D. May 31, 2016
MIPS, MACRA, & CJR: Medicare Payment Transformation Presenter: Thomas Barber, M.D. May 31, 2016 Michael Porter- Value Based Care Delivery, Annals of Surgery 2008 Principals: Define Value as a Goal Care
More informationPatient survey report Outpatient Department Survey 2009 Airedale NHS Trust
Patient survey report 2009 Outpatient Department Survey 2009 The national Outpatient Department Survey 2009 was designed, developed and co-ordinated by the Acute Surveys Co-ordination Centre for the NHS
More informationSPC Case Studies Answers
SPC Case Studies Answers Ref: JC Benneyan, RC Lloyd, PE Plsek, Statistical process control as a tool for research and healthcare improvement, Qual. Saf. Health Care 2003; 12:458 464 doi:10.1136/qhc.12.6.458
More informationSkilled, tender care for all stages of aging
Skilled, tender care for all stages of aging No Regrets As we age, we all need personal, medical and emotional care. Geer Village supports seniors and their families through all the stages of aging with
More informationEuclid Hospital CMS BPCI Episode
Euclid Hospital CMS BPCI Episode Two Paradigms in Health Care Reform Managing population 1 health, 2 PCMH Managing episodes of care, Bundled payments Health Status Baseline Episode Total Spend: Commercial
More informationNHS Emergency Department Questionnaire
NHS Emergency Department Questionnaire What is the survey about? This survey is about your most recent visit to the emergency department at the hospital named in the letter enclosed with this questionnaire.
More information